Outpatient ureteric stent removal following kidney transplantation

Author:

Georgiades F.1ORCID,Silva A. N. S.1ORCID,Purohit K.1ORCID,King S.2,Torpey N.2,Saeb-Parsy K.1ORCID,Pettigrew G. J.1ORCID,Rouhani F. J.1ORCID

Affiliation:

1. Department of Surgery, University of Cambridge, and Cambridge National Institute for Health Research Biomedical Research Centre, Cambridge, UK

2. Transplant Unit, Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK

Abstract

Lay Summary During a kidney transplant, a plastic tube (stent) is placed in the ureter, connecting the new kidney to the bladder, in order to keep the new join open during the initial phase of transplantation. The stent is then removed after a few weeks via a camera procedure (cystoscopy), as it is no longer needed. The present study compared performing this in the operating theatre or in clinic for transplanted patients using a new single-use type of camera with an integrated grasper system. The results have shown that it is safe and cost-effective to do this in clinic, despite patients being susceptible to infection after transplantation.

Funder

National Institute for Health Research

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference16 articles.

1. European Association of Urology guidelines on renal transplantation: update 2018;Rodríguez Faba;Eur Urol Focus,2018

2. Routine intraoperative ureteric stenting for kidney transplant recipients;Wilson;Cochrane Database Syst Rev,2013

3. Early versus late ureteric stent removal after kidney transplantation;Thompson;Cochrane Database Syst Rev,2018

4. Prophylactic ureteric stents in renal transplant recipients: a multicenter randomized controlled trial of early versus late removal;Patel;Am J Transplant,2017

5. Meta-analysis of early versus late ureteric stent removal after kidney transplantation;Cai;Transplant Proc,2018

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